Abstract
During voice production, the larynx acts as an energy transducer that converts aerodynamic energy from the lungs into acoustic energy heard as voice. The efficiency of this energy transduction is dependent on a variety of factors including glottal configuration, hydration, vocal fold tension, as well as the aerodynamic inputs of airflow and pressure. The aerodynamic inputs are analogous to an electrical circuit where airflow, subglottal pressure, and laryngeal resistance correspond to current, voltage, and resistance. Aerodynamic parameters that reflect the energy required to produce voice are helpful indicators of vocal function. Abnormal aerodynamic parameters have been demonstrated in the setting of numerous laryngeal pathologies including vocal nodules, polyps, and Reinke’s edema. Accordingly, aerodynamic measurement remains a critical component of the comprehensive voice assessment.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Titze IR. Introduction. In: Principles of voice production. Iowa City: National Center for Voice and Speech; 2000. p. xvii–xiv.
Titze IR. Vocal fold oscillation. In: Principles of voice production. Iowa City: National Center for Voice and Speech; 2000. p. 87–122.
Jiang JJ, Leder C, Bichler A. Estimating subglottal pressure using incomplete airflow interruption. Laryngoscope. 2006;116(1):89–92.
Baken RJ, Orlikoff RF. Clinical measurement of speech and voice. San Diego: Singular, Thomson Learning; 2000.
Holmberg EB, Doyle P, Perkell JS, Hammarberg B, Hillman RE. Aerodynamic and acoustic voice measurements of patients with vocal nodules: variation in baseline and changes across voice therapy. J Voice. 2003;17:269–82.
Rosen CA, Lombard LE, Murry T. Acoustic, aerodynamic, and videostroboscopic features of bilateral vocal fold lesions. Ann Otol Rhinol Laryngol. 2000;103(9):823–8.
Jiang JJ, Chen H-J, Stern J, Solomon NP. Vocal efficiency measurements in subjects with vocal polyps and nodules: a preliminary report. Ann Otol Rhinol Laryngol. 2004;113(4):277–82.
Tanaka S, Gould WJ. Vocal efficiency and aerodynamic aspects in voice disorders. Ann Otol Rhinol Laryngol. 1985;94(1):29–33.
Jiang JJ, Tao C. The minimum glottal airflow to initiate vocal fold oscillation. J Acoust Soc Am. 2007;121(5):2873–81.
Zhuang P, Specher AJ, Hoffman MR, Zhang Y, Fourakis M, Jiang JJ. Phonation threshold flow measurements in normal and pathological phonation. Laryngoscope. 2009;119(4):811–5.
Hottinger DG, Tao C, Jiang JJ. Comparing phonation threshold flow and pressure by abducting excised larynges. Laryngoscope. 2009;117(9):1695–9.
Titze IR. Phonation threshold pressure: a missing link in glottal aerodynamics. J Acoust Soc Am. 1992;91(5):2926–35.
Jiang JJ, Stern J. Receiver operating characteristic of aerodynamic parameters obtained by airflow interruption: a preliminary report. Ann Otol Rhinol Laryngol. 2004;113(12):961–6.
Titze IR. Fluid flow in respiratory airways (breathing). In: Principles of voice production. Iowa City: National Center for Voice and Speech; 2000. p. 57–86.
Reives A, Hoffman MR, Jiang JJ. Indirect estimation of laryngeal resistance via airflow redirection. Ann Otol Rhinol Laryngol. 2009;118(2):124–30.
Van den Berg JW, Zantema JT, Doornebal P. On the air resistance and the Bernoulli effect of the human larynx. J Acoust Soc Am. 1957;29(5):626–31.
Smitheran J, Hixon TJ. A clinical method for estimating laryngeal airway resistance during vowel production. J Speech Hear Disord. 1981;46(2):138–46.
Netsell R, Lotz WK, Duchane AS, Barlow SM. Vocal tract aerodynamics during syllable productions: normative data and theoretical implications. J Voice. 1991;5(1):1–9.
Scherer R, Guo C. Effect of vocal radii on pressure distributions in the glottis. J Acoust Soc Am. 1990;88(S1):S150.
Berke G, Moore D, Monkewitz P, Hanson D, Gerratt B. A preliminary study of particle velocity during phonation in an in vivo model. J Voice. 1989;3(4):306–13.
Renger M, Jiang JJ. Phonation threshold power in ex vivo laryngeal models. J Voice. 2011;25(5):519–25.
Zhuang P, Swinarska JT, Robieux CF, Hoffman MR, Lin S, Jiang JJ. Measurement of phonation threshold power in normal and disordered voice production. Ann Otol, Rhinol Laryngol. 2013;122(9):555–60.
Titze IR. Vocal efficiency. NCVS status and progress report. 1992. p. 217.
Yanagi E, Slavit D, McCaffrey TV. Study of phonation in the excised canine larynx. Otolaryngol – Head Neck Surg. 1991;105(4):586–95.
Jiang JJ, Ng J, Hanson D. The effects of rehydration in excised canine larynges. J Voice. 1999;13(1):51–9.
Slavit DH, McCaffrey TV. Regulation of phonatory efficiency by vocal fold tension and glottic width in the excised canine larynx. Ann Otol, Rhinol Laryngol. 1991;100(8):668–77.
Lofqvist A, Carlborg B, Kitzing P. Initial validation of an indirect measure of subglottal pressure during vowels. J Acoust Soc Am. 1982;72(2):633–5.
Chapin WJ, Hoffman MR, Reives AL, Jiang JJ. Comparison of labial and mechanical interruption for measurement of aerodynamic parameters. J Voice. 2011;25(3):337–41.
Hoffman MR, Scholp AJ, Hedberg C, Lamb JR, Braden M, McMurray JS, Jiang JJ. Measurement reliability of phonation threshold pressure in pediatric subjects. Laryngoscope. 2019;129(7):1520–6.
Hertegard S, Guaffin J, Lindestad P-A. A comparison of subglottal and intraoral pressure measurements during phonation. J Voice. 1995;9(2):149–55.
Bard MC, Slavit DH, McCaffrey TV, Lipton RJ. Noninvasive technique for estimating subglottic pressure and laryngeal efficiency. Ann Otol Rhinol Laryngol. 1992;101(7):578–82.
Jiang JJ, O'Mara T, Chen H-J, Stern J, Vlagos D, Hanson D. Aerodynamic measurements of patients with Parkinson disease. J Voice. 1999;13(4):583–91.
Rothernberg M. Measurement of airflow in speech. J Speech Lang Hear Res. 1977;20:155–76.
Weinrich B, Brehm SB, Knudsen C, McBride S, Hughes M. Pediatric normative data for the KayPENTAX phonatory aerodynamic system model 6600. J Voice. 2013;27(1):46–56.
Zraick RI, Smith-Olinde L, Shotts LL. Adult normative data for the KayPENTAX phonatory aerodynamic system model 6600. J Voice. 2012;26(2):164–76.
Awan S, Novaleski CK, Yingling JI. Test-retest reliability for aerodynamic measures of voice. J Voice. 2013;27(6):674–84.
Jiang JJ, O'Mara T, Conley D, Hanson D. Phonation threshold pressure measurements during phonation by airflow interruption. Laryngoscope. 1999;109:425–32.
Plant RL, Freed GL, Plant RE. Direct measurement of onset and offset phonation threshold pressure in normal subjects. J Acoust Soc Am. 2004;116:3640–6.
Hoffman MR, Baggot CD, Jiang JJ. Reliable time to estimate subglottal pressure. J Voice. 2009;23(2):169–74.
Baggott CD, Yuen A, Hoffman MR, Zhou L, Jiang JJ. Estimating subglottal pressure via airflow redirection. Laryngoscope. 2007;117:1491–5.
Jiang JJ, Hanna RB, Willey MV, Reives A. The measurement of airflow using singing helmet that allows free movement of the jaw. J Voice. 2016;30(6):641–8.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Huth, H., Scholp, A.J., Jiang, J.J. (2020). Aerodynamic Voice Assessment. In: McMurray, J., Hoffman, M., Braden, M. (eds) Multidisciplinary Management of Pediatric Voice and Swallowing Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-26191-7_10
Download citation
DOI: https://doi.org/10.1007/978-3-030-26191-7_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-26190-0
Online ISBN: 978-3-030-26191-7
eBook Packages: MedicineMedicine (R0)